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MOTIVATING INDIVIDUALS FOR LEARNING AND LIVING NPI 1225086770


NPI Information

NPI: 1225086770
Provider Name: MOTIVATING INDIVIDUALS FOR LEARNING AND LIVING

Doing Business As: THE MILL

Classification: Residential Treatment Facility, Emotionally Disturbed Children - 322D00000X
Entity Type: Organization
Address:
3445 ELMWOOD RD
ROCKFORD, IL
ZIP 61101
Phone: (815) 282-7741
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MOTIVATING INDIVIDUALS FOR LEARNING AND LIVING is a residential treatment facility emotionally disturbed children in Rockford, IL. The provider is a residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently. MOTIVATING INDIVIDUALS FOR LEARNING AND LIVING NPI is 1225086770. The provider is registered as an organization entity type.
The provider Is Doing Business As The Mill.

The provider's business location address is:

3445 ELMWOOD RD
ROCKFORD, IL
ZIP 61101-529
Phone: (815) 282-7741
Fax: (815) 636-5041

The provider's authorized official is James L Spruyt .
The authorized official title is President/ceo and has the following contact phone number (815) 282-7741.

The enumeration date for this NPI number is 5/5/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1322D00000XResidential Treatment Facility, Emotionally Disturbed Children401288-04ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12B05-CHR-042MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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